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Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands.

Authors :
Koks-Leensen, Monique C. J.
Schalk, Bianca W. M.
Bakker-van Gijssel, Esther J.
Timen, Aura
Nägele, Masha E.
van den Bemd, Milou
Leusink, Geraline L.
Cuypers, Maarten
Naaldenberg, Jenneken
Source :
Emerging Infectious Diseases; Jan2023, Vol. 29 Issue 1, p118-126, 9p, 4 Charts, 2 Graphs
Publication Year :
2023

Abstract

The COVID-19 pandemic has disproportionately affected persons in long-term care, who often experience health disparities. To delineate the COVID-19 disease burden among persons with intellectual disabilities, we prospectively collected data from 36 care facilities for 3 pandemic waves during March 2020-May 2021. We included outcomes for 2,586 clients with PCR-confirmed SARS-CoV-2 infection, among whom 161 had severe illness and 99 died. During the first 2 pandemic waves, infection among persons with intellectual disabilities reflected patterns observed in the general population, but case-fatality rates for persons with intellectual disabilities were 3.5 times higher and were elevated among those ≥40 years of age. Severe outcomes were associated with older age, having Down syndrome, and having ≥1 concurrent condition. Our study highlights the disproportionate COVID-19 disease burden among persons with intellectual disabilities and the need for disability-inclusive research and policymaking to inform disease surveillance and public health policies for this population. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10806040
Volume :
29
Issue :
1
Database :
Complementary Index
Journal :
Emerging Infectious Diseases
Publication Type :
Academic Journal
Accession number :
160974754
Full Text :
https://doi.org/10.3201/eid2901.221346